Smith, Tracey Lynn

Smith, Tracey Lynn is an sole proprietor health care provider with primary practice located at 167 Smith Rd , Lake Ronkonkoma NY 11779-2213. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Tracey Lynn can be contacted via phone (631) 348-1389.

Contact Information

Primary practice address
167 Smith Rd Lake Ronkonkoma NY 11779-2213
Phone: (631) 348-1389
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 025842 New York

Profile Details

NPI number 1356470751
LBN Legal business name Smith, Tracey Lynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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